CMS-10791 - SDRE Declining Eligibility or Need More Information Notice

No Surprises Act: IDR Process

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:

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File Type	application/pdf
File Title	3. SDRE Declining Eligibility or Need More Information Notice
Author	LAURA BYABAZAIRE
File Modified	2021-12-20
File Created	2021-12-10